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Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip)

CPT4 code

Immunoassay for Infectious Agent Antibody(ies), Qualitative or Semiquantitative, Single-Step Method (e.g., Reagent Strip)

Name of the Procedure:
  • Common Name(s): Immunoassay, Antibody Test
  • Technical/Medical Terms: Qualitative or Semiquantitative Immunoassay, Single-Step Antibody Assay
Summary

An immunoassay is a test used to identify the presence of specific antibodies in the blood. This is done using a reagent strip that reacts to the antibodies being tested. It can provide quick results to help diagnose infections caused by various pathogens.

Purpose

The immunoassay helps diagnose infections by detecting antibodies the body produces in response to infectious agents. The goal is to quickly determine whether an individual has been exposed to or is currently infected with a specific pathogen.

Indications
  • Symptoms or Conditions: Fever, fatigue, body aches, unexplained infections.
  • Patient Criteria: Individuals showing symptoms of an infection, those exposed to contagious diseases, and immune-compromised patients requiring frequent monitoring.
Preparation
  • Pre-procedure Instructions: Generally, no special preparation is required. Depending on the specific test, fasting might be necessary.
  • Diagnostic Tests: Usually no preliminary tests are required.
Procedure Description
  1. Sample Collection: A blood sample is collected via a finger prick or venipuncture.
  2. Application: The blood sample is applied to a reagent strip.
  3. Reaction Time: The strip is left to react for a specified duration.
  4. Interpretation: After the reaction time, the results are read and interpreted based on color changes or other markers.

Tools/Equipment: Reagent strip, blood sample collection kit, timer. Anesthesia/Sedation: Typically, none required.

Duration

The procedure typically takes about 15-30 minutes from sample collection to result interpretation.

Setting
  • Location: Hospital, outpatient clinic, doctor’s office.
Personnel
  • Involved Healthcare Professionals: Nurse, laboratory technician, or primary care physician.
Risks and Complications
  • Common Risks: Minor discomfort or bruising at the blood collection site.
  • Rare Complications: False positives or negatives, leading to further unnecessary testing or delayed diagnosis.
Benefits
  • Expected Benefits: Rapid diagnosis of infection, guiding timely treatment.
  • Realization Timeline: Results are often available within the same visit, enabling prompt medical advice or intervention.
Recovery
  • Post-procedure Care: Minimal care required, keep the puncture site clean.
  • Recovery Time: Immediate; generally, no downtime.
  • Restrictions: None typically required.
  • Follow-up: If results are positive, further diagnostic tests or treatments may be needed.
Alternatives
  • Other Treatment Options: PCR tests, culture tests, ELISA (enzyme-linked immunosorbent assay).
  • Pros and Cons: PCR tests are more accurate but slower; culture tests may take days; ELISA is more comprehensive but requires a laboratory setting.
Patient Experience
  • During Procedure: Minor discomfort from blood collection.
  • After Procedure: Generally no pain, normal activities can be resumed immediately.
  • Pain Management: Over-the-counter pain relievers if discomfort persists at the puncture site.

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